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PACIFIC REDWOOD MEDICAL GROUP INC
NPI 1033103676
Emergency Medicine in Ukiah, CA

Active since September 09, 2005
275 HOSPITAL DR, UKIAH, CA 95482(707) 462-7900(707) 462-7947 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2018, Jul 20, 2018, Jan 13, 2016 (3 updates tracked since 2016).

About Pacific Redwood Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC REDWOOD MEDICAL GROUP INC (NPI 1033103676) is a healthcare organization registered as an emergency medicine in Ukiah, California and active in the NPI registry since September 2005. The organization maintains a secondary practice location in Ukiah and lists Gary W Fausone, President, as its authorized official.

NPPES Registry Identity

NPI1033103676
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NamePACIFIC REDWOOD MEDICAL GROUP INC
Location Address275 HOSPITAL DRUkiah, CA 95482
Mailing AddressPo Box 2800Ukiah, CA 95482-2800 · (707) 462-7900 · Fax (707) 462-7947
Phone(707) 462-7900
Fax(707) 462-7947
Organization SubpartNo
Authorized OfficialGary W FausonePresident · (707) 462-7900
Enumeration DateSeptember 9, 2005
Last NPPES UpdateJuly 31, 20183 updates tracked since enumeration
✔ NPI 1033103676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
Also ListedHospitalistTaxonomy 208M00000X
275 HOSPITAL DR, Ukiah, CA 95482
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Secondary Practice Location 1

Location 1232 Hospital Dr Ste BUkiah, CA 95482-4562 · Phone (707) 467-4994

Other Identifiers 4

OtherZZZ06060ZCA · Blue Shield
Other352149100Dol (dept Of Labor)
Other17165692005CA · State Compensation Ins
MedicaidGR0093400CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Redwood Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

112

Medicare enrollment records show 112 clinicians reassign Medicare billing to Pacific Redwood Medical Group Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Emergency Medicine82
Hospitalist10
Nurse Practitioner9
Family Practice6
Internal Medicine5

Nearest to this location (20)

See all 112
Kelsey Coolahan, MD
Emergency Medicine
NPI 1669054334
275 HOSPITAL DR
Ukiah, CA 95482
(707) 462-3111
✔ PECOS✔ Accepts MedicareSame address
Lindsey Watters, APRN, FNP-BC
Nurse Practitioner
NPI 1386481299
275 HOSPITAL DR
Ukiah, CA 95482
(707) 462-3111
✔ PECOSSame address
Gary Fausone, MD
Emergency Medicine
NPI 1316997737
275 HOSPITAL DR
Ukiah, CA 95482
(707) 462-7900
✔ PECOS✔ Accepts MedicareSame address
Vanessa Fuller, NURSE PRACTITIONER
Nurse Practitioner
NPI 1417560194
275 HOSPITAL DR
Ukiah, CA 95482
(707) 462-7900
✔ PECOS✔ Accepts MedicareSame address
Alexis Loudon
Nurse Practitioner
NPI 1700666138
275 HOSPITAL DR
Ukiah, CA 95482
(707) 397-9111
✔ PECOS✔ Accepts MedicareSame address
Debbie Marks, MD
Emergency Medicine
NPI 1447231220
275 HOSPITAL DR
Ukiah, CA 95482
(707) 462-7900
✔ PECOS✔ Accepts MedicareSame address
Gurpreet Shires, APRN-CNP
Nurse Practitioner
NPI 1225535685
275 HOSPITAL DR
Ukiah, CA 95482
(707) 380-1075
✔ PECOS✔ Accepts MedicareSame address
Marvin Trotter, MD
Internal Medicine
NPI 1720027436
275 HOSPITAL DR
Ukiah, CA 95482
(707) 462-7900
✔ PECOSSame address
Sasha Yusem, DO
Emergency Medicine
NPI 1982308896
275 HOSPITAL DR
Ukiah, CA 95482
(707) 462-3111
✔ PECOS✔ Accepts MedicareSame address
Bonnie Henderson, FNP
Nurse Practitioner
NPI 1710031158
260 HOSPITAL DR SUITE 201
Ukiah, CA 95482
(707) 463-8000
✔ PECOS✔ Accepts Medicare0.1 mi
Shannon Todd, FNP
Nurse Practitioner
NPI 1659870186
246 HOSPITAL DR
Ukiah, CA 95482
(707) 463-8011
✔ PECOS✔ Accepts Medicare0.1 mi
Megan Forbes, MD
Emergency Medicine
NPI 1578213930
242 HOSPITAL DR STE B
Ukiah, CA 95482
(707) 380-1075
✔ PECOS✔ Accepts Medicare0.1 mi
Avery Newcomb, MD
Emergency Medicine
NPI 1780212886
242 HOSPITAL DR STE B
Ukiah, CA 95482
(707) 462-7900
✔ PECOS✔ Accepts Medicare0.1 mi
Aaron Streufert
Nurse Practitioner
NPI 1215327473
280 E STANDLEY ST
Ukiah, CA 95482
(707) 466-0001
✔ PECOS✔ Accepts Medicare0.2 mi
Jodi Parungao
Family Practice
NPI 1932528965
1050 N STATE ST
Ukiah, CA 95482
(707) 463-7495
✔ PECOS✔ Accepts Medicare0.8 mi
Amber Gilmore, MD
Family Practice
NPI 1407210768
6991 N STATE ST
Redwood Valley, CA 95470
(707) 485-5115
✔ PECOS✔ Accepts Medicare6.2 mi
Linnea Lantz, DO
Emergency Medicine
NPI 1841759974
15630 18TH AVE
Clearlake, CA 95422
(707) 995-5885
✔ PECOS✔ Accepts Medicare35 mi
Benjamin Meyer, NP, FNP-C
Nurse Practitioner
NPI 1750171906
700 RIVER DR STE A
Fort Bragg, CA 95437
(707) 961-4631
✔ PECOS✔ Accepts Medicare37 mi
James Dolan, M.D.
Family Practice
NPI 1043338106
764 ALEXANDER VALLEY RD
Healdsburg, CA 95448
(530) 848-0546
✔ PECOS✔ Accepts Medicare39 mi
Laurent Palmatier, MBBS
Hospitalist
NPI 1386175230
30 MARK WEST SPRINGS RD
Santa Rosa, CA 95403
(707) 992-5406
✔ PECOS✔ Accepts Medicare51 mi
See all 112 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Redwood Medical Group Inc's NPI number?

The NPI number for Pacific Redwood Medical Group Inc is 1033103676. It was assigned to this organization in the NPPES registry on September 9, 2005.

Where is Pacific Redwood Medical Group Inc located?

Pacific Redwood Medical Group Inc is located at 275 Hospital Dr, Ukiah, CA 95482. The listed phone number is (707) 462-7900.

What is Pacific Redwood Medical Group Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Pacific Redwood Medical Group Inc enrolled in Medicare?

Yes. Pacific Redwood Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Redwood Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 112 clinicians in 5 Medicare specialties reassign their Medicare billing to Pacific Redwood Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (82), Hospitalist (10) and Nurse Practitioner (9). Of these, 9 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pacific Redwood Medical Group Inc was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.